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Measuring the efficiency of Turkish maternal and child health hospitals: A two-stage data envelopment analysis

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  • İlgün, Gülnur
  • Sönmez, Seda
  • Konca, Murat
  • Yetim, Birol

Abstract

This study aims to examine the changes in efficiency and efficiency levels of the maternal and child health hospitals in Turkey from 2014 to 2017, by applying two-stage data envelopment analysis (DEA). At the first stage of the study, the efficiency of the hospitals was evaluated with input-oriented CCR (Charnes, Cooper, Rhodes) and Malmquist Productivity Index (MPI). At the second stage, panel Tobit regression analysis was utilized to find out the factors that affect the efficiency scores specified at the first stage. According to the results of the first stage, the mean efficiency values calculated for 2014, 2015, 2016, and 2017 were 0.83, 0.90, 0.86, and 0.80, respectively. At the second stage, it was revealed that the variables of not being in a metropolis and having 200 beds at least had statistically a significant effect on the efficiency score (p < 0.05) whereas being a training and research hospital was ineffective (p > 0.05). The number of the studies which assess the efficiency of maternal and child health hospitals in Turkey was quite limited. Moreover, such studies do not contain second-stage analyses. Lastly, it is thought that those results will provide health policy-makers substantial and evidence-based information in the allocation of the resources for the related services.

Suggested Citation

  • İlgün, Gülnur & Sönmez, Seda & Konca, Murat & Yetim, Birol, 2022. "Measuring the efficiency of Turkish maternal and child health hospitals: A two-stage data envelopment analysis," Evaluation and Program Planning, Elsevier, vol. 91(C).
    • Handle: RePEc:eee:epplan:v:91:y:2022:i:c:s014971892100118x
    DOI: 10.1016/j.evalprogplan.2021.102023
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    References listed on IDEAS

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    1. Rajasulochana, Subramania Raju & Chen, Po-Chi, 2019. "Efficiency and Productivity changes in the presence of undesirable outcomes in Emergency Obstetric and Newborn Care," Journal of Policy Modeling, Elsevier, vol. 41(5), pages 905-925.
    2. Wei Lu & Richard David Evans & Tao Zhang & Ziling Ni & Hongbing Tao, 2020. "Evaluation of resource utilization efficiency in obstetrics and gynecology units in China: A three‐stage data envelopment analysis of the Shanxi province," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(1), pages 309-317, January.
    3. Pınar Kaya Samut & Reyhan Cafrı, 2016. "Analysis of the Efficiency Determinants of Health Systems in OECD Countries by DEA and Panel Tobit," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 129(1), pages 113-132, October.
    4. George Fragkiadakis & Michael Doumpos & Constantin Zopounidis & Christophe Germain, 2016. "Operational and economic efficiency analysis of public hospitals in Greece," Post-Print hal-01414677, HAL.
    5. Ole Olesen & Niels Petersen, 2002. "The Use of Data Envelopment Analysis with Probabilistic Assurance Regions for Measuring Hospital Efficiency," Journal of Productivity Analysis, Springer, vol. 17(1), pages 83-109, January.
    6. Yasar A. Ozcan & Jaya Khushalani, 2017. "Assessing efficiency of public health and medical care provision in OECD countries after a decade of reform," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 25(2), pages 325-343, June.
    7. Sebastian Kohl & Jan Schoenfelder & Andreas Fügener & Jens O. Brunner, 2019. "The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals," Health Care Management Science, Springer, vol. 22(2), pages 245-286, June.
    8. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    9. Rödder, W. & Reucher, E., 2012. "Advanced X-efficiencies for CCR- and BCC-models – towards Peer-based DEA controlling," European Journal of Operational Research, Elsevier, vol. 219(2), pages 467-476.
    10. Bayram Şahin & Gülnur İlgün, 2019. "Assessment of the impact of public hospital associations (PHAs) on the efficiency of hospitals under the ministry of health in Turkey with data envelopment analysis," Health Care Management Science, Springer, vol. 22(3), pages 437-446, September.
    11. Johannessen, Karl Arne & Kittelsen, Sverre A.C. & Hagen, Terje P., 2017. "Assessing physician productivity following Norwegian hospital reform: A panel and data envelopment analysis," Social Science & Medicine, Elsevier, vol. 175(C), pages 117-126.
    12. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    13. George Fragkiadakis & Michael Doumpos & Constantin Zopounidis & Christophe Germain, 2016. "Operational and economic efficiency analysis of public hospitals in Greece," Annals of Operations Research, Springer, vol. 247(2), pages 787-806, December.
    14. Lavers, Robert J. & Whynes, David K., 1978. "A production function analysis of English maternity hospitals," Socio-Economic Planning Sciences, Elsevier, vol. 12(2), pages 85-93.
    15. Javier Fiallos & Jonathan Patrick & Wojtek Michalowski & Ken Farion, 2017. "Using data envelopment analysis for assessing the performance of pediatric emergency department physicians," Health Care Management Science, Springer, vol. 20(1), pages 129-140, March.
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    2. Kosycarz, Ewa & Dędys, Monika & Ekes, Maria & Wranik, Wiesława Dominika, 2023. "The effects of provider contract types and fiscal decentralization on the efficiency of the Polish hospital sector: A data envelopment analysis across 16 health regions," Health Policy, Elsevier, vol. 129(C).

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